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Mjm Health Agency, Inc

(312) 515-77821S311 Summit Ave, Oakbrook Terrace, IL 60181
CMS Certification Number 147956 · Proprietary · Medicare-certified since 05/02/2007
11deficiencies since 2018
0serious
3inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-11-22

· Recertification · 10 deficiencies · CMS source report (PDF)
Moderate Names And Contact Information

Since 2021, the Agency failed to update the communication plan.

Source: CMS Form 2567, inspection 2024-11-22, tag E0030 · view on CMS
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Moderate Ep Testing Requirements

The Agency failed to conduct / participate in testing of the Emergency Preparedness to ensure the effectiveness of the Agency's Plan.

Source: CMS Form 2567, inspection 2024-11-22, tag E0039 · view on CMS
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Moderate Encoding And Transmitting Oasis

In 182 of 357 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

Source: CMS Form 2567, inspection 2024-11-22, tag G0372 · view on CMS
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Moderate Disclosure Of Ownership And Management Info.

The Agency failed to disclose consistent legal address for the Agency to the State survey Agency.

Source: CMS Form 2567, inspection 2024-11-22, tag G0850 · view on CMS
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Moderate Authentication

In 7 of 7 (Pts #1, 2, 3, 4, 5, 6, and7) the Agency failed to ensure clinical notes were properly authenticated to include the title of staff completing clinical note.

Source: CMS Form 2567, inspection 2024-11-22, tag G1024 · view on CMS
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Minor Participate In Care

In 7 of 7 (Pts. 1, 2, 3, 4, ,5, 6 and 7) clinical records reviewed, the Agency failed to ensure Pts. were informed in writing of the disciplines to provide care/service, and the frequency of visits provided by each discipline.

Source: CMS Form 2567, inspection 2024-11-22, tag G0434 · view on CMS
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Minor Plan Of Care Must Include The Following

In 3 of 7 (Pts. # 2, 4 and 7) clinical records reviewed the Agency failed to ensure that the PsOC contained patient specific interventions and treatments.

Source: CMS Form 2567, inspection 2024-11-22, tag G0574 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

The Agency failed to provide information regarding the Nurse Manager.

Source: CMS Form 2567, inspection 2024-11-22, tag G0622 · view on CMS
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Minor Provide Services In The Plan Of Care

In 4 of 7 (Pts. #1, 7, 2 and 4) clinical record reviews, the Agency failed to ensure that services are provided as ordered in the POC.

Source: CMS Form 2567, inspection 2024-11-22, tag G0710 · view on CMS
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Minor Discharge And Transfer Summaries

In 2 of 2 (Pts. # 6 and 7) discharge records, the Agency failed to send a discharge summary to the primary care practitioner or other health care professional, within five (5) business days of discharge.

Source: CMS Form 2567, inspection 2024-11-22, tag G1022 · view on CMS
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Inspection 2021-10-07

· Recertification · 1 deficiencies · CMS source report (PDF)
Minor Provide Services In The Plan Of Care

The Agency failed to provide Physical Therapy services as ordered by the Physician in the POC, and to notify the Physician of missed visits, as per the Agency’s policy.

Source: CMS Form 2567, inspection 2021-10-07, tag G0710 · view on CMS
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Inspection 2020-07-20

· Complaint · no deficiencies cited · CMS source report (PDF)